Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $2,950.00 / $6,915.00	Facility		$270.33	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $290.41 / $520.02	Professional		$181.73	$290.41	$520.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $283.70 / $524.34	Professional		$141.21	$283.70	$524.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $329.95 / $588.16	Professional		$209.41	$329.95	$588.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.81 / $297.67 / $584.29	Professional		$176.81	$297.67	$584.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.74 / $334.03 / $486.02	Professional		$229.74	$334.03	$486.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.22 / $337.37 / $497.60	Professional		$229.22	$337.37	$497.60
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.43 / $386.74 / $695.47	Professional		$264.43	$386.74	$695.47